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Review
. 2024 Nov;65(11):3138-3154.
doi: 10.1111/epi.18124. Epub 2024 Sep 20.

WONOEP appraisal: Genetic insights into early onset epilepsies

Affiliations
Review

WONOEP appraisal: Genetic insights into early onset epilepsies

Anne Quatraccioni et al. Epilepsia. 2024 Nov.

Abstract

Early onset epilepsies occur in newborns and infants, and to date, genetic aberrations and variants have been identified in approximately one quarter of all patients. With technological sequencing advances and ongoing research, the genetic diagnostic yield for specific seizure disorders and epilepsies is expected to increase. Genetic variants associated with epilepsy include chromosomal abnormalities and rearrangements of various sizes as well as single gene variants. Among these variants, a distinction can be made between germline and somatic, with the latter being increasingly identified in epilepsies with focal cortical malformations in recent years. The identification of the underlying genetic mechanisms of epilepsy syndromes not only revolutionizes the diagnostic schemes but also leads to a better understanding of the diseases and their interrelationships, ultimately providing new opportunities for therapeutic targeting. At the XVI Workshop on Neurobiology of Epilepsy (WONOEP 2022, Talloires, France, July 2022), various etiologies, research models, and mechanisms of genetic early onset epilepsies were presented and discussed.

Keywords: brain mosaicism; chromosomal abnormalities; early onset epilepsy; germline and somatic variants; single gene variants.

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References

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